[炎症指数预测儿童复杂急性尾炎]
Jesús Daniel Ortiz-Ley1, Adriana Del Rocío Rodríguez-Zepeda1, Carlos Paque-Bautista1
1Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 27, 2023
概括
像中性粒细胞/淋巴细胞比率 (NLR) 和血小板/淋巴细胞比率 (PLR) 这样的炎症标志物可以预测儿童的尾炎. 像PLR和系统性免疫炎症 (SII) 指数这样的特定标志物对于在年幼儿童中识别复杂尾炎特别有用.
科学领域:
- 儿科手术 儿科手术
- 炎症标记物 炎症标记物
- 诊断的准确性 诊断的准确性
背景情况:
- 尾炎是儿童急性手术腹部的主要原因.
- 迟迟诊断尾炎可能会导致严重的并发症.
研究的目的:
- 评估炎症标志物在预测儿科患者复杂急性尾炎 (CAA) 的有效性.
- 评估不同年龄组的各种炎症标志物的诊断效用.
主要方法:
- 这是一项回顾性分析横截面研究,涉及377名儿科患者 (3-17岁).
- 分析完整血清 (CBC) 参数,包括中性细胞/淋巴细胞比率 (NLR),血小板/淋巴细胞比率 (PLR),系统性免疫炎症 (SII) 指数和淋巴细胞/单细胞比率 (LMR).
- 按年龄组 (学龄前儿童,学龄儿童,青少年) 和尾炎严重程度 (复杂与非复杂) 分类分层分析.
主要成果:
- 在患有复杂尾炎的患者中观察到较高的NLR,PLR和SII,以及较低的LMR.
- 在所有儿科年龄组中,NLR,PLR和SII在诊断尾炎方面表现出高灵敏度和特异性.
- 在学龄前儿童中,PLR和SII与复杂的尾炎有关,而在学龄儿童中,LMR与复杂的尾炎有关.
结论:
- NLR,PLR,LMR和SII是儿科患者尾炎的有价值的预测因素.
- PLR和SII对于在学龄前儿童中识别复杂尾炎,在学龄儿童中识别LMR特别有用.
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